Semin Reprod Med 2017; 35(01): 065-071
DOI: 10.1055/s-0036-1597307
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Strategies for Management of Colorectal Endometriosis

Mauricio Simões Abrão
1  Endometriosis Division, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Sao Paulo, Sao Paulo, Brazil
,
Giuliano Moysés Borrelli
1  Endometriosis Division, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Sao Paulo, Sao Paulo, Brazil
,
Roberto Clarizia
2  Department of Obstetrics and Gynecology, Gynecologic Oncology and Minimally Invasive Pelvic Surgery, International School of Surgical Anatomy, Sacred Heart Hospital, Negrar (Verona), Italy
,
Rosanne Marie Kho
3  Women's Health Institute, Cleveland Clinic, Cleveland, Ohio
,
Marcello Ceccaroni
2  Department of Obstetrics and Gynecology, Gynecologic Oncology and Minimally Invasive Pelvic Surgery, International School of Surgical Anatomy, Sacred Heart Hospital, Negrar (Verona), Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
12 December 2016 (eFirst)

Abstract

Endometriosis has clearly three distinct clinical presentations and deep endometriosis, especially compromising the rectosigmoid is probably the most concerning one for both patients and surgeons. Currently, with the available tools, it is mandatory to have a precise diagnostic of this type of disease prior to indication of treatment. Strategies to manage this form of endometriosis will take into account several involved aspects, such as age of the patient, reproductive desire or infertility, clinical symptoms, as well as the extension and localization of the disease. Treatment could vary from more conservative to more radical depending on those aspects. As we pointed out in this article, the key to manage colorectal endometriosis is to start with a good diagnosis. Knowing exactly what is the extension and localization of the disease and knowing the patient's wishes as well as the clinical complaints, surgeons are able to define the best option for each patient. Critical points should always be discussed; for example, patients chosen to have clinical treatment should be aware of important issues regarding the follow-up, while patients undergoing surgery must be advised about all surgical possibilities and related complications.